Permit l n CITY I �� � � MECHANICAL PERMIT
°. COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00248
TIGARD`' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/16/2008
PARCEL: 2S112AC -01100
SITE ADDRESS: 07301 SW KABLE LN 100 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT: 00H JURISDICTION: TIG
PROJECT: CTX
Project Description: TI. Replacing grills.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 2
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 5/16/200€ $72.50
[TAX] 12% State Surch 5/16/200€ $8.70
Total $81.20
Phone:
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 519 -6199
FAX 503- 238 -9767
Reg #: LIC 38868
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By �` _� _� Permittee Signature: #
'
Cali 503.•39.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application C® FOR OFFICE CSE 0\I.1'
City of Tigard
pp �`� . �0 Date/By: Permit No.:
•i . • • 13125 SW Hall Blvd., Tigard, OR 97 ��,�� /� `�- �/
O . Phone: 503.639.4171 Fax: 503.598.1 71 Py ..\- - ; Received ` ;, Other Permit:
" � i; A K t :� Ins Line: 503 ��` - ';' • L to Ready 61 See Page 2 for
• Internet: www.tigard - or.gov . O'( 10l s Notified/Method: Supplemental Information
Cl TYPE OF WOR1 N COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition/alteration/replacement t�[echanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit_
CATEGORY OF CONSTRUCTION Vatue: $ 51,200.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessary building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description 1 Qty. 1 Ea. Total
JOB SITE INFORMATION AND LOCATION HeatingIcooIng
. -Job site address: 7301 SW 'CABLE LN. Air conditioning or heat pump
(requires site plan shaming placement) 14.00
City/State/ZIP: TIGARD OR 97224 Furnace 100,000 BTU (ductciroms) 14.00
Suite/bldg. /apt. no?7O d Project name: CTX Furnace 100,000+ BTU (dnctsfems) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
bydmnic) 14.00
Unit heaters (fuel - type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue/von for any of above 6.80
Subdivision: Lot no.:
Other: - 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water hotter 10.00
Ours fireplace 10.00
REPLACE GRILLS FOR TENANT IMPOVEMENT
Flue vend for water heater or gas
fireplace 10.00
Log lighter (Ras) 10.03
Wood/pellet stove 10.00
Wood fueplaefins-ert 10.(0
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
Other 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equqM:etd 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet extmpartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT PERSON Atticksawlspace fans 10.00
Other 10.00 _
Buainets name: PROTEMP ASSOCIATES Fusel piping
Contact name: BRUCE BUTNER SS40 for first four; S1.00 for each additional
Address: 9788 SE 17 AVE Furnace, etc.
Gas heat pump
City /State/ZIP: PORTLAND OR 97222 Walvsuspeaded/tmit heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water beater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) -7)-,..5"
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (12% of permit fee) g -
TOTAL PERMIT FEE ' / , a
Authorized SJgnatuT This p ermit application empires if a peroit is not obtained within 180
days after it has been accepted as complete.